Méningiome
Vue déterministe de l'entité source de la LJAM. L'autorité clinique demeure avec les ID de la source cités et l'état d'approbation de l ́examinateur.
| ID | DIS-MENINGIOMA |
|---|---|
| Type | Maladie |
| Alias | WHO grade I/II/III meningiomaméningiome anaplastiqueMéningiome atypiqueméningiome intracrânienméningiome spinalМенінгіома |
| État | reviewed 2026-05-04 | pending_clinical_signoff |
| Maladies | Aucune déclaration |
| Sources | SRC-EANO-MENINGIOMA-2024 SRC-NCCN-CNS-2025 |
Informational support. All recommendations must be verified by a qualified oncologist. Engineering checks are not clinical validation or treatment approval.
| icd_o_3_morphology | 9530/0 |
|---|---|
| icd_o_3_topography | ["C70"] |
| icd_10 | D32 |
| who_classification | WHO Classification of Tumours of the CNS 5th ed (2021): Meningioma (grades 1–3) |
Notes
Most meningiomas are WHO grade I (benign) and cured by gross total resection. Grade II (atypical) and grade III (anaplastic) have high recurrence rates and limited systemic options. NF2 loss is the most common molecular event; NF2-associated meningiomas often harbor co-occurring SMARCB1/SMARCA4 alterations in aggressive subtypes. Targeted therapy: AKT1-mutant meningioma → AKT inhibitors (capivasertib, ipatasertib) in phase II trials. SMO-mutant meningioma → vismodegib (case series). Selumetinib for NF2-associated plexiform neurofibroma has shown activity (FDA-approved in NF1 pediatric context) but NF2-meningioma selumetinib data is limited. Hormonal agents (progesterone receptor antagonists) not proven effective in trials. Bevacizumab used off-label for recurrent/progressive grade II-III based on small trials.
Utilisé par
Pertinence thérapeutique
BMA-NF2-GERMLINE-VESTIBULAR-SCHWANNOMA- NF2 germline pathogenic variants drive Neurofibromatosis Type 2 (NF2 / NF2- related schwa...BMA-NF2-MENINGIOMA- La perte de NF2 est le facteur moléculaire le plus courant dans le méningiome (~50% du grade I; ...
Algorithmes
ALGO-MENINGIOMA-1L- ALGO-MENINGIOMA-1L
Indication
IND-MENINGIOMA-1L-RESECTION-RT- IND-MENINGIOMA-1L-RESECTION-RTIND-NF2-CARRIER-SURVEILLANCE- IND-NF2-CARRIER-SURVEILLANCE
Procédures
SUR-MENINGIOMA-RESECTION- Résection maximale du méningiome
Questionnaires
QUEST-MENINGIOMA-1L-STUB- Méningiome — première ligne
Signal d’alerte
RF-NF2-SCHWANNOMATOSIS-CARRIER- Variante pathogène/pathogène probable confirmée dans la NF2 (neurofibromine 2/merli...RF-WERNER-CONFIRMED-CARRIER- Variantes bactériennes bialléliques confirmées pathogènes / pathogènes probables dans le WRN (RECQL2; Wern...